4 Nursing Diagnosis Interventions for Hypertension

Nursing Diagnosis for Hypertension - Nursing Care Plan for Hypertension

1. Risk for decreased cardiac output related to increased afterload, vasoconstriction, myocardial ischemia, ventricular hypertrophy.

Purpose: afterload is not increased, there was no vasoconstriction, and myocardial ischemia does not occur.

Expected outcomes:

• Maintaining blood pressure within an acceptable range.
• Showed stable cardiac rhythm and frequency.
• Participate in activities that lower blood pressure.

Nursing interventions:

• Monitor and measure blood pressure in both hands, using a cuff and proper techniques in terms of measuring blood pressure.
• Auscultation of breath sounds and heart tone. Observe skin color, moisture, temperature and capillary refill time.
• Note the presence, quality of the central and peripheral pulses.
• Maintain restrictions on activities such as rest in bed or chair.
• Assist in performing self-care activities as needed.
• Provide a quiet environment, convenient, and therapeutic and reduce activity. Note the general edema.
• Monitor response to medication to control blood pressure. Give fluid and dietary sodium restriction as indicated.
• Medical collaboration in the provision of drugs as indicated.

2. Acute pain: headache related to increased cerebral vascular pressure.

Purpose: The pressure does not increase cerebral vascular

Expected Outcomes: Patients revealed the absence of headache and looked comfortable.

Nursing interventions:

• Maintain bed rest, quiet neighborhood, a little light.
• Limit of patients in the activity.
• Minimize disruption and environmental stimuli.
• Give a fun action according to indications such as ice packs, the position of comfort, relaxation techniques, counseling imagination, avoid constipation.
• Medical collaboration in providing analgesic and sedative drugs.

3. Ineffective Tissue Perfusion: cerebral, renal, cardiac related to impaired circulation.

Purpose: The circulation of the body is not impaired.

Expected outcomes :

• Patients demonstrating an improved tissue perfusion as indicated by: blood pressure within acceptable limits, no complaints of headache, dizziness, laboratory values ​​within normal limits.
• Stable vital signs.
• Urine output 30 ml / min.

Nursing interventions:

• Maintain bed rest, elevate the head position in bed patients.
• Assess blood pressure at admission in both arms, sleeping, sitting with arterial pressure monitoring if it is available.
• Measure the input and discharge.
• Observe the sudden hypotension.
• Ambulation within your means and avoid fatigue in patients.
• Monitor electrolytes, creatinine according to medical advice.
• Maintain fluids and medications according to medical advice.

4. Knowledge deficit related to lack of information about the disease process and self-care.

Purpose : patients are met in terms of information about hypertension.

Expected outcomes :

• Patients can express their knowledge and skills of the management of early treatment of hypertension.
• Reported the use of drugs according to medical advice.

Nursing interventions:

• Describe the nature of the disease and the purpose of the procedure and the treatment of hypertension.
• Explain the importance of a peaceful environment and theraupetik, and management of stressors.
• Discuss the importance of maintaining a stable weight.
• Discuss the need for low-calorie diet, low in sodium to order.
• Discuss the importance of avoiding fatigue in the activity.
• Explain the need to avoid constipation in the bowel movement.
• Explain penetingnya maintain proper fluid intake, amount allowed, restrictions such as caffeinated coffee, tea and alcohol.
• Discuss the symptoms of relapse or progression of complications reported to the doctor: headache, dizziness, fainting, nausea and vomiting.
• Talk about drugs: the name, dosage, time of administration, purpose and side effects or toxic effects.
• Explain the need to avoid drug-free, without a doctor's examination.

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